A new technique of reattachment after traumatic avulsion of the TFCC at its ulnar insertion
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abstract
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One female and seven male patients (median age 25.5) presented with
traumatic avulsion of the triangular fibrocartilage complex (TFCC),
type 1B according to Palmer's classification. Reattachment of the
TFCC near its anchoring point was combined with an intraarticular
shortening osteotomy of the ulnar head. This provides an excellent
approach to the TFCC and a well vascularized anchoring surface. The
mooring point is biomechanically appropriate and the tissues with
the best biomechanical properties are used. The functional results
with a mean follow-up of 3 years were encouraging, as demonstrated
by the significant improvement of pain (P = 0.017). All patients
were able to return to their previous occupation; no further surgery
was necessary to the distal radio-ulnar joint and no impairment of
pronation and supination was detected. The final wrist score
reflects the subjective results defined by the patient. However the
correlation is not linear and the wrist scores are superior to the
degree of satisfaction defined by the patient.
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citation
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Sennwald G R, Lauterburg M, Zdravkovic V. A new technique of
reattachment after traumatic avulsion of the TFCC at its ulnar
insertion. J Hand Surg Br 1995; 20:178-84.
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type
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journal paper/review (English)
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date of publishing
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4-1995
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journal title
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J Hand Surg Br (20/2)
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ISSN print
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0266-7681
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pages
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178-84
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PubMed
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7797966
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